ref
epsos-
Retired| Description |
A problem observation may reference a health status observation. This structure is included in the target observation using the <entryRelationship> element defined in the CDA Schema. The health status observation records information about the current health status of the patient. The example below shows the recording the health status, and is used as the context for the following sections. |
| Example |
| <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.51"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.2"/> <code code="11323-3" displayName="Health Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <text> <reference value="#hstatus-2"/> </text> <statusCode code="completed"/> <value xsi:type="CE" code=" " codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></observation> |
| Item | DT | Card | Conf | Description | Label | |
|---|---|---|---|---|---|---|
| hl7:observation | Entr tion | |||||
| @classCode | cs | 0 … 1 | F | OBS | ||
| @moodCode | cs | 0 … 1 | F | EVN | ||
| hl7:templateId | II | 1 … 1 | R | Entrtion | ||
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.51 | ||
| hl7:templateId | II | 1 … 1 | R | Entrtion | ||
| @root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.1.2 | ||
| hl7:code | CD | 1 … 1 | R | This observation is of health status, as indicated by the <code> element. This element must be present. | Entrtion | |
| @code | CONF | 0 … 1 | F | 11323-3 | ||
| @displayName | 0 … 1 | F | Health Status | |||
| @codeSystem | 0 … 1 | F | 2.16.840.1.113883.6.1 | |||
| @codeSystemName | 0 … 1 | F | LOINC | |||
| hl7:text | ED | 1 … 1 | M | The <text> element is required and points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described. | Entrtion | |
| hl7:reference | TEL | 1 … 1 | M | Entrtion | ||
| @value | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 | |||
| hl7:statusCode | CS | 1 … 1 | M | The code attribute of <statusCode> for all clinical status observations shall be completed. While the <statusCode> element is required in all acts to record the status of the act, the only sensible value of this element in this context is completed. | Entrtion | |
| @code | CONF | 1 … 1 | F | completed | ||
| hl7:value | CE.EPSOS | 1 … 1 | R | The <value> element contains the health status. It is always represented using the CE datatype (xsi:type='CE'). It shall contain a code from the following set of values from SNOMED CT. | Entrtion | |
| CONF |
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